Alicia Anne Booth
NPI 1780396275ActiveIndividual· Anesthesiologist Assistant· Fort Wayne, IN
Anesthesiologist Assistant in Fort Wayne, Indiana, trained at Indiana University School of Medicine (class of 2022). Medicare paid $8,953 for services to 139 patients in 2024.
Overview
| NPI | 1780396275 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 16, 2022 |
| Last updated in NPPES | May 20, 2024 |
| Certified by provider | May 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 75000124A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 139 |
|---|---|
| Services billed | 140 across 34 procedure codes |
| Paid by Medicare | $8,953 |
Education and affiliations
| Medical school | Indiana University School of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Parkview Health System IncFort Wayne, IN · 1,377 clinicians
Hospital affiliation
- Parkview Regional Medical CenterFort Wayne, IN
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